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Hi Tim, and welcome, although as you said, it’s not a place you really want to visit.
Molly sounds as though she is really rallying and I suspect she will do even better as the meds are reduced. Totally agree, never reduce two meds at once.
Mycophenolate is not one of my favourites, but more and more vets seem to be going that way now. Yes, ironically, it can cause bone marrow suppression which reduces production of red blood cells.
Good luck with your girl. Any queries, don’t hesitate to ask.
My very best wishes.
Hi Lily, I’m so sorry Ellie is not well right now.
First of all, it is early days and it can take a bit of time to see improvement. What does Ellie weigh? Also is she on any other drugs? Blood thinners? Clotting can be a problem. Also stomach protection, as prednisone is very hard on the stomach.
Has her thyroid been checked? Even dogs with a normal thyroid are often helped by taking thyroid medication.
The other thing I’d suggest is that if the Azathioprine is not helping, ask your vet to switch to Cyclosporine.
Ask anything at all. Happy to help.
My best, Vally
Hi Kayasol, I’m sorry to hear about your girl. How old is Kaya??? Is she on any thyroid medication? Thyroid medication, whether they are hypothyroid or not, helps the marrow to produce red blood cells.
Mycophenolate is not my favourite as it can have lots of stomach problems. It seems to be the drug of choice lately though.
Was cyclosporine tried?
This is not the same as as cyclophosphamide. I read that cyclophosphamide is treatment for lymphomas, leukemias, carcinomas, and sarcomas.
There are better treatments for AIHA.
Ask anything.
Vally
Hi Katie, I’m so sorry, I thought I had posted a reply on her behalf as I remember she quickly emailed me. I’ve just gone through emails and found this. I should have passed this on to you. Again, I’m so sorry…
This is what Patrice said:
“13 is old even for a small dog. Anesthesia is harder on old and tiny dogs. There are senior protocols that are less risky, so the vet must be experienced.
If this were me i would do a complete cbc chem screen to evaluate. Then, if all is fairly good i would only do the teeth first, but making sure hes been on antibiotics prior to surgery. I would locate a board certified diplomate veterinary surgeon to perform the surgery. Let them determine how risky this is with him on these drugs. He may want to adjust them before surgery.
Teeth can be full of bacteria and that is infamous for releasing dangerous levels in the blood causing sepsis.
The stones are common in some male dogs and there are various drugs and diets that can help prevent new instances. But if there are no symptoms right now, just get on those treatments.”
Vally